Last Updated: Jul 19, 2026
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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Drug Information and Evidence-Based Medicine | 25% | - Literature Evaluation
|
| Topic 2: System-Based Standards and Population-Based Pharmacotherapy | 20% | - Population Health and Public Health
|
| Topic 3: Patient-Centered Pharmacotherapy | 55% | - Assessment of Patient-Specific Information
|
1. A patient is being discharged on dabigatran, and the pharmacotherapy specialist is counseling the patient's caregiver about the medication. What is the best information to give the caregiver concerning the storage of dabigatran?
A) Discard the dabigatran bottle within 60 days of opening.
B) Keep dabigatran in the original container until ready for use.
C) Place dabigatran in a weekly pill planner to aid compliance.
D) Refrigerate an opened bottle of dabigatran to increase shelf life.
2. A 51-year-old male patient reports waking up in the middle of the night and being unable to go back to sleep, but he has no problem falling asleep. The patient says he feels exhausted most days of the Week at Work. His physician prescribes zolpidem 3.5 mg sublingually as needed.
What is the most appropriate counseling point about zolpidem for this patient?
A) It should be taken with a full glass of water.
B) It may be taken for middle-of-the-night awakenings.
C) It should be taken shortly before bedtime.
D) It is unlikely to cause sleep during driving.
3. A patient presents to the emergency department with an acute Ischemic stroke. The symptoms have been present for just over an hour.
Which test would be most appropriate to help determine the patient's eligibility to receive t-PA?
A) CT scan
B) Cerebral angiogram
C) MRI
D) Neurologic exam
4. A 58-year-old woman presents to the emergency department of a small rural hospital with recurrent chest pain that is unrelieved by three sublingual nitroglycerin tablets. Initial evaluation of her ECG and cardiac enzymes are consistent with non-STEMI. The woman is admitted for observation and given aspirin. Which of the following should be added to this patient's regimen to reduce her risk of death, MI, and recurrent ischemia?
A) Intravenous t-PA
B) Oral warfarin
C) Subcutaneous enoxaparin
D) Subcutaneous heparin
5. A 25-year-old man who weighs 80 kg is brought to the emergency department following a motor vehicle collision. He has severe facial contusions and a presumed closed head injury. His Glasgow Coma Scale score is 8. An emergency CT scan shows no evidence of intracranial bleeding. What should recommendations for therapy include?
A) Fosphenytoin 25 PE/kg intravenous push, then an appropriate maintenance dose for one week
B) Diazepam 5 mg intravenously over 5 minutes, qh6 for one week
C) Dexamethasone 10 mg intravenously q6h for one week
D) Phenytoin 1,200 mg intravenously over 45 minutes, then an appropriate maintenance dose for one week
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: C | Question # 3 Answer: A | Question # 4 Answer: C | Question # 5 Answer: C |
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